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We have all heard of "double-blind"
studies, but what does that mean? And are they always the
essential standard of scientific data that we need to be confident
that our information is accurate and helpful to our health?
A clinical trial is a prospective study in which
the participants are placed into two groups based on a random
division (to avoid bias in subject selection), and the subjects
are not aware of which group they are in, the treatment or
the control (a single-blind study). If the researchers also
do not know which group is which before they break the code
(they are coded for later evaluation) it is called a double-blind
study. This is important because just knowing you are in treatment
can influence the outcome through the power of the
mind to influence healing.
Even when the researchers know which group is
which, they may pass subtle hints to the subjects, subconsciously
or otherwise, that may influence the results. If the treatment
is with medication, the control group is given an inactive
pill called a placebo. Thus you will see references to "randomly-assigned,
double-blind, placebo-controlled, clinical trials." (And
some people refer to a triple-blind study where no one knows
what is going on.)
Medical practitioners like to see "randomly
assigned, double-blind, placebo-controlled, cross-over, clinical
trials" in order to be sure that the results are meaningful,
but the vast majority of medical practice as it is actually
being done in the doctors office every day is not supported
by such scientific data. This does not mean that the practice
is wrong or bad, but only that medicine is an art as well
as a science, and we can appreciate and benefit from the wisdom
and understanding of the practitioner as well as the science
of medicine.
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